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In the past, drug abuse deaths were more common in middle-aged blacks than in middle-aged whites. Now they are more common in whites. The same pattern holds for deaths from alcoholic cirrhosis of the liver. The suicide rate for whites was four times that of blacks.

Could people be taking drugs and killing themselves as a response to the economic slowdown? Maybe. But, if so, Dr. Deaton and Dr. Case said, then why aren’t people in other countries responding the same way?

the people who report pain in middle age are the people who report difficulty in socializing, shopping, sitting for three hours, walking for two blocks.

older people are actually doing better — less addiction, disability rates falling.

how much of what they are seeing might be attributed to the explosive increase in prescription narcotics.

Recent reports of illness and disability might provide some clues. More middle-aged whites report that their general health is not good; and, more report chronic pain

Dr. Deaton envisions poorly educated middle-aged white Americans who feel socially isolated are out of work, suffering from chronic pain and turning to narcotics or alcohol for relief, or taking their own lives. Starting in the 1990s, he said, there was a huge emphasis on controlling pain, with pain charts going up in every doctor’s office and a concomitant increase in prescription narcotics.

Dr. Deaton noted that blacks and Hispanics may have been protected to an extent. Some pharmacies in neighborhoods where blacks and Hispanics live do not even stock those drugs, and doctors have been less likely to prescribe them for these groups.

So we're all the same after all.Under the right conditions - no control over your life, low pay, no job, little in the way of job prospects, no healthcare, little education, families break down when the man can't be the breadwinner, and then along comes poor health, substance abuse, depression, despair - all those ills that were blamed on black people's supposed lack of morals.Now that white kids are dying of heroin we need to change the laws, end the war on drugs, legalize pot, and change how we talk about what were formerly known as 'junkies'.White men are in despair as a result of economic problems, white kids are doing hard drugs in numbers that everyone's starting to notice, and AIDS is plaguing white communities, and now we need to care. So we're all human?

Because white people are depressed over their diminution in society by the policies of the Federal Government, the education system, racial animosity and biased media outlets that are rampant through the society. These doctors are clueless liberals that will try to find any reason to blame, other than the truth. It's not the drugs, it's what is causing them to want the drugs. White males have been denigrated for the past 50 years. The effects have to be building up and weighing on them.

John is a trusted commenter Boston 6 hours ago No, their diminution in society came from globalized capitalism. A lot of these working class white people were Reagan voters. I'm the same age as them, I saw it happen. They thought they were getting "Morning in America" but instead they got morning for Walmart and sunset for the working class. That's enough to make anybody turn to pills and booze.

DougH Lithonia, GA 7 hours ago To some extent, it's of their own making. High school educated whites tend to vote Republican. Over the last 30 years, Republicans have sold them a bill of goods. They abandoned unions, opposed increases in the minimum wage, and opposed regulation, including safety, wage fairness, etc.So now they are paid less. They have no way of changing that (short of high education) and the big beneficiaries of lower taxes have been the businesses and owners that for which they work. Did those owners bless the workers with the fruits of their benefits? Of course not. They kept the reduced expenses as profit, increased CEO wages, and kept cutting benefits before finally shipping their jobs overseas.Perhaps, if they stopped voting against their own interests, they would fair better.

dw659 Chicago 8 hours ago Why? Simple. Because to males, a 'loss of control' is an unacceptable change. 200 years of being 'in control' just because you are born white and male is ending. Many men can't face a world where they are of 'lower status' than women, blacks, Hispanics, Asians, etc. They don't want to live in that world.....

dale south africa 5 hours ago Its true ! I am a conservative man and i live i johannesburg. I cant imagine what it must be like respecting all things under the suns . From females, gays blacks etc Children of slaves dictating societies . oprah picking presidents. the bully is not allowed to be at his natural best and strongest with this new liberal socialist agenda , everyone equal attitude. im not white but if I was who would want that

Linda is a trusted commenter Oklahoma 54 minutes ago I know so many white men in this small town I live in who never had anything to do with their children. They didn't care about anybody through their productive years and now they're surprised that nobody cares about them.

AC USA 5 hours ago Could it be because these guys have no close family ties? They are the ages that their parents are probably in nursing homes or already passed away. These blue collar, high school educated guys fathered unwanted children with women to whom they may or may hot have been married and divorced. But now at middle age comes time for them to feel wanted and valued by their progeny (dad, dispense some life wisdom to us, help us with college, getting married, a down payment on a house, take your grand-kids fishing, etc.), but they dumped their kids by not wanting to pay child support, or having a bad attitude and not helping their kids at all past age 18. So they kids moved on without dad's love and "support" (monetary or emotionally). The "all for myself mentality" they have espoused has finally come home to roost. There is no going back in time, they are all alone, have no purpose as jobs are hard to come by at that age - even more-so blue collar ones - so they drink/take pills to dull the pain, then overdo it.

suzinne bronx 5 hours ago Think white families more often DO NOT stick together. At middle age and white, have ZERO contact with any family members. By the time I was 16 most had died, moved away or become estranged. Know this amps up my chances for suicide, and that's probably going to pan out too. Flag

Paul '52 is a trusted commenter NYC 2 hours ago The is the first cohort to experience the phenomenon that if you do the same job as your parents you won't do as well or better. These are the auto workers, the airport baggage handlers, the truck drivers. They are, in fact, more productive than their fathers, but they're not paid as well and they don't have pensions. And the disappointment is taking its toll.

Many discount these nonexperimental studies—I know I have done so for years. But now I am taking another look as studies are starting to indicate that diet sweeteners could be hurting, instead of helping weight-loss efforts.

Colleagues at my institution argued in 2015 that such sweeteners are far from inert. They showed an impact on hormone secretion, cognitive processes and gut microbiota—and concluded that all of these effects could counter weight control intentions.

What was clear is that these substances again were linked to weight gain and metabolic disturbances.

It is reasonable to ask why these substances were not evaluated as drugs in the first place. Millions of people are exposed to them every day, and yet their long-term effect is uncertain. Could they be actually causing the health problems they were intended to prevent?

the burden of proof is on the manufacturers to show benefit and demonstrate safety through clinical trials.

That love of country doesn’t have to be, and shouldn’t be, uncritical. But the faults you find, the critiques you offer, should be about the ways in which we don’t yet live up to our own ideals.

If what bothers you about America is, instead, the fact that it doesn’t look exactly the way it did in the past (or the way you imagine it looked in the past), then you don’t love your country — you care only about your tribe.

This same tribal urge surely underlies a lot of the right’s rhetoric about national security. Why are Republicans so fixated on the notion that the president must use the phrase “Islamic terrorism,” when actual experts on terrorism agree that this would actually hurt national security, by helping to alienate peaceful Muslims?

The answer, I’d argue, is that the alienation isn’t a side effect they’re disregarding; it’s actually the point — it’s all about drawing a line between us (white Christians) and them (everyone else), and national security has nothing to do with it.

what strikes me most is the silence of so many leading Republicans in the face of behavior they would have denounced as treason coming from a Democrat — not to mention the active support for Mr. Trump’s stance among many in the base.

What this tells you, I think, is that all the flag-waving and hawkish posturing had nothing to do with patriotism. It was, instead, about using alleged Democratic weakness on national security as a club with which to beat down domestic opponents, and serve the interests of the tribe.

So if it seems strange to you that these days Democrats are sounding patriotic while Republicans aren’t, you just weren’t paying attention

The people who now seem to love America always did; the people who suddenly no longer sound like patriots never were.

Give me a real crisis with enough urgency to invest the parties with ownership, set up a credible process, find a mediator with will and skill, add a little luck, and poof, you too can have a chance at an agreement. Less is more here. Toward that end, here are a half dozen rules of the road on when and how negotiations actually work.

Own up: Former World Bank and Harvard President Larry Summers was right. In the history of the world nobody ever washed a rental car. People really care only about what they own. And without those in conflict actually investing themselves in the need for an agreement, there won’t be one.

Timing is Critical: Woody Allen was wrong. Ninety percent of life isn’t just showing up; it’s showing up at the right time. Ownership just doesn’t ripen like an orange on a tree; it’s driven by a sense of urgency, and that means the presence of sufficient pain and gain to change the locals’ calculations.

Nobody Gets 100%: The Rolling Stones got this one right: You get what you need, not always what you want. To do a deal that lasts requires a balance of interests where both leaders can convince themselves they got enough on the substance—and persuade their publics too. A third party mediator can often help to make the sale by being creative in packaging. But the substance has to be real.

A Credible Process: The so-called peace process—now in a coma—has gotten a bad name. And it’s easy to see why. But if you want to reach an agreement, you’ll need a process that’s credible all the same. Negotiations on complex issues involving identity, religion, security take time. Expectations need to be managed. And there must be a sense that the process—however difficult—is heading toward mutually agreeable goals.

The 3rd Party: It would be nice to fantasize that the Arabs and Israelis could do this peace thing without the help of a third party, but history says no. Sure, the two sides often start the process. But the gaps are too wide, the mistrust too deep, and the need for assurances—economic, technical and security assistance—too great to go it alone.

put down those academic books. Get yourself to the nearest video store and rent West Side Story and the Godfather. That’s what real world negotiations look like.

“It’s throughout all the private schools here,” said DeAnsin Parker, a New York psychologist who treats many adolescents from affluent neighborhoods like the Upper East Side. “It’s not as if there is one school where this is the culture. This is the culture.”

The D.E.A. lists prescription stimulants like Adderall and Vyvanse (amphetamines) and Ritalin and Focalin (methylphenidates) as Class 2 controlled substances — the same as cocaine and morphine — because they rank among the most addictive substances that have a medical use.

merely giving a friend an Adderall or Vyvanse pill is the same as selling it and can be prosecuted as a felony.

While these medicines tend to calm people with A.D.H.D., those without the disorder find that just one pill can jolt them with the energy and focus to push through all-night homework binges and stay awake during exams afterward. “It’s like it does your work for you,”

But abuse of prescription stimulants can lead to depression and mood swings (from sleep deprivation), heart irregularities and acute exhaustion or psychosis during withdrawal, doctors say. Little is known about the long-term effects of abuse of stimulants among the young

the pills eventually become an entry to the abuse of painkillers and sleep aids.

“Once you break the seal on using pills, or any of that stuff, it’s not scary anymore — especially when you’re getting A’s,” said the boy who snorted Adderall in the parking lot. He spoke from the couch of his drug counselor, detailing how he later became addicted to the painkiller Percocet and eventually heroin.

“Children have prefrontal cortexes that are not fully developed, and we’re changing the chemistry of the brain. That’s what these drugs do

The number of prescriptions for A.D.H.D. medications dispensed for young people ages 10 to 19 has risen 26 percent since 2007, to almost 21 million yearly, according to IMS Health, a health care information company — a number that experts estimate corresponds to more than two million individuals.

Doctors and teenagers from more than 15 schools across the nation with high academic standards estimated that the portion of students who do so ranges from 15 percent to 40 percent.

“They’re the A students, sometimes the B students, who are trying to get good grades,”

“They’re the quote-unquote good kids, basically.”

After 30 minutes, the buzz began, she said: laser focus, instant recall and the fortitude to crush any test in her path.

“It wasn’t that hard of a decision. Do I want only four hours of sleep and be a mess, and then underperform on the test and then in field hockey? Or make the teachers happy and the coach happy and get good grades, get into a good college and make my parents happy?”

Madeleine estimated that one-third of her classmates at her small school, most of whom she knew well, used stimulants without a prescription to boost their scholastic performance. Many students across the United States made similar estimates for their schools, all of them emphasizing that the drugs were used not to get high, but mostly by conscientious students to work harder and meet ever-rising academic expectations.

Every school identified in this article was contacted regarding statements by its students and stimulant abuse in general. Those that responded generally said that they were concerned about some teenagers turning to these drugs, but that their numbers were far smaller than the students said.

This is one of the more vexing problems with stimulants in high schools, experts said — the drugs enter the schools via students who get them legally, if not legitimately.

Newer long-lasting versions like Adderall XR and Vyvanse allow parents to give children a single dose in the morning, often unaware that the pills can go down a pants pocket as easily as the throat. Some students said they took their pills only during the week and gave their weekend pills to friends.

She said many parents could push as hard for prescriptions as their children did, telling her: “My child is not doing well in school. I understand there are meds he can take to make him smarter.”

“These are academic steroids. But usually, parents don’t get the steroids for you.”

Asked if the improper use of stimulants was cheating, students were split. Some considered that the extra studying hours and the heightened focus during exams amounted to an unfair advantage. Many countered that the drugs “don’t give you the answers” and defended their use as a personal choice for test preparation, akin to tutoring.

One consensus was clear: users were becoming more common, they said, and some students who would rather not take the drugs would be compelled to join them because of the competition over class rank and colleges’ interest.

“Junior and senior year is a whole new ballgame,” the boy said. “I promised myself I wouldn’t take it, but that can easily, easily change. I can be convinced.”

fewer Millennials are taking part in traditional family building, and the ones doing it are waiting longer than their parents did. Now the structure of social life isn’t that different for many people in their mid-30s than it was in their early 20s, which provides plenty of time for drinking on dates and with friends for them to start to get a little tired of it.

“Folks in the Millennial generation have maybe a better sense of balance. Some do yoga or meditation or are physically active, so they don’t need to find stimulation and stress reduction in substances.” That mirrors the generation’s general interest in maintaining its health,

Millennials who haven’t developed their generation’s signature coping skills often use alcohol heavily. Starke sees an alarming number of people under 35 with advanced liver disease or alcohol hepatitis. As attitudes may be moderating for many young adults, plenty of others are struggling: Nearly 90,000 people still die from alcohol-related causes in America every year, and that number hasn’t started to meaningfully improve.

“It still seems like this is a generation of self-medicating, but they’re using things differently,” says Starke, and the normalization and ever more common legalization of cannabis have a big part in that.

A 2017 study found that in counties with legalized medicinal cannabis, alcohol sales dropped more than 12 percent when compared with similar counties without weed. Recreational legalization has the potential to bolster that effect by making cannabis products even more broadly accessible

She sees many patients looking for help with opioids, as well as benzodiazepines such as Xanax.

uicide rates are up among young adults, and prescription-drug abuse is a problem the country is only beginning to address

Gen Z is drinking at lower rates than adolescents have in generations, and so much about a person’s lifetime relationship with substance abuse and consumption is set by use in early life.

“For many people, when they’re honest with their friends [about wanting to skip out on drinks], their friends are like, ‘Oh my God, I was thinking about that too,’” says UNC’s Starke. “I don’t know too many people who have gotten a negative response.”

through persuasive insistence. On issues as diverse as the alleged dangers of immigration and the nature of truth, Trump’s words have the power to cleave public opinion, turning nonpolitical issues into partisan maelstroms and turning partisan attitudes on their head.

Years ago (even months ago) it would have been absurd to imagine “law and order” Republicans souring on the FBI; or that the party of Reagan and Bush would turn on the NFL, America’s most orgiastically patriotic sport.

In 2014, about 60 percent of both Republicans and Democrats said the FBI was doing an "excellent" or "good" job. Last year, their views forked: Republican approval of the agency fell by about 10 points, while Democratic opinion improved by a similar margin.

And yet, because Democrats have become more pro-immigrant under Trump, a record-high share of Americans now say "immigrants strengthen the country.”

Trump evinces not a Midas touch, but a Moses touch—an extraordinary talent for planting a stake in the ground and dividing the landscape before him.

In mid-2016, 20 percent of both Republicans and Democrats considered Russia an “ally” or “friendly.” One year later, Republicans were more than twice as likely as Democrats to say the same.

Immigration had for years been a marginal political topic, especially when compared with issues like jobs and terrorism. But Trump effectively recast immigration as a question of American identity and national security.

The construction of a wall along the Mexican border, once a fringey scheme, became the centerpiece of the GOP presidential candidate’s agenda. Today, three-quarters of Trump supporters say that “building the wall” should be the highest priority of his presidency

Less than 20 percent of Republicans said they had unfavorable views of the NFL in the summer of 2017. But their disapproval had more than tripled by October, after Trump blasted players for kneeling to protest police violence during the national anthem

Trump’s “mere” words could starve his party of moderate legislators, while encouraging Democratic candidates to embrace more liberal positions to distinguish themselves as distinctly anti-Trump.

It's tempting to downplay the power of Trump's words by saying their influence is “merely” shifting public opinion. But that's not quite right. First, there’s nothing subtle about Republican voters clutching nativism, the far-right right clutching Nazism, or Democratic voters radicalizing in defiance of the president.

Second, Trump’s rhetorical posture has some real policy implications. Though he hasn’t yet signed any major legislation on immigration, his harsh stance on undocumented workers empowered the Immigration and Customs Enforcement agency to increase arrests by 40 percent in his first year, often to shocking effect

And his constant disparagement of experts who refuse to parrot his policies has sucked the talent out of several government agencies, notably the State Department.

Trump’s refusal to accept critical information as true—from his denial of Russian interference in the 2016 election to the “alternative facts” about his inauguration size—has demolished the right’s faith and trust in a free press. Three-quarters of the GOP now say that news organizations make up anti-Trump stories.

Even worse, a January study found that nearly half of Republicans believe that accurate stories that “cast a politician or political group in a negative light” are “always” fake news. Trump, along with Fox News, has given his supporters the license to self-deport from reality.

Trump’s obsession with building and broadcasting an alternative ledger of facts has made epistemology the fundamental crisis of his term

In its first month, the administration invented or mainstreamed a new vocabulary of mendacity—e.g., fake news, alternative facts—and within 10 months, Trump made more than 1,500 false or misleading claims, according to The Washington Post. That’s roughly six lies, exaggerations, or omissions per day

No legislation, no executive order, and no official speech has caused this shift. It is the president’s words, delivered often via Twitter and amplified on Fox News, that have exploded the very notion of a shared political truth.

The insistence that Trump’s words don’t matter isn’t incidental to the GOP’s broader strategy. It is the strategy—to quarantine Trump’s most noxious rhetoric and proceed apace with traditional Republican governance.

The idea that a president’s words don’t matter is a deeply ahistorical position. And that’s particularly true for the GOP

Perhaps Republicans don’t treat Trump as a typical Republican president because, in a very real sense, Trump is not really the president. Instead, he has become a kind of nationalist identity guru for the new American right.

an anonymous White House source all but acknowledged this strategy, telling Axios that the president would spend 2018 seeking “unexpected cultural flashpoints,” like the NFL’s kneeling controversy. The White House sees Trump’s principle talent as the ability to activate cultural resentment among his supporters, encouraging them to redefine their identity and values around a nativist anger.

Politics is downstream from persuasion, and law is downstream from language.

Many western history books over the years have stated that the Chinese used this discovery only for fireworks, but that is not true. Song Dynasty military forces as early as 904 A.D. used gunpowder devices against their primary enemy, the Mongols. These weapons included "flying fire" (fei huo), an arrow with a burning tube of gunpowder attached to the shaft.

Flying fire arrows were miniature rockets, which propelled themselves into enemy ranks and inspired terror among both men and horses. It must have seemed like fearsome magic to the first warriors who were confronted with the power of gunpowder.

By the mid- to late-eleventh century, the Song government had become concerned about gunpowder technology spreading to other countries. The sale of saltpeter to foreigners was banned in 1076. Nonetheless, knowledge of the miraculous substance was carried along the Silk Road to India, the Middle East, and Europe. In 1267, a European writer made reference to gunpowder, and by 1280 the first recipes for the explosive mixture were published in the west. China's secret was out.

Biden calls for a $15 minimum wage, increased Social Security benefits for the poorest Americans, and strengthening the power of unions to organize and bargain. He advocates a substantial program to tackle infrastructure, and a sweeping gun control plan.

He proposes to assist low-income schools by tripling the amount of federal assistance to fund universal pre-K and raise teachers’ salaries. A frequent critic, German Lopez of Vox, describes his proposal for criminal justice reform as “one of the most comprehensive among presidential campaigns, taking on various parts of the criminal justice system at once.” And he is committed to fighting voter suppression and expanding the right to vote.

When it comes to the environment, even the progressive Sunrise Movement (which supports Sanders) calls Biden’s plan to combat climate change “comprehensive.” Focused on achieving clean energy and eliminating harmful emissions, it would cost $1.7 trillion over a decade—which, while far less the cost of the Green New Deal, represents a giant leap forward.

How does Biden propose to raise revenue? By tax increases of $3.4 trillion over a decade, virtually all derived from raising rates for corporations and wealthy—including treating capital gains as ordinary income.

His immigration plan is smart and balanced. While avoiding the extremes of decriminalizing the border or abolishing ICE, it protects Dreamers, provides a pathway to citizenship for undocumented immigrants, welcomes increased immigration, and reverses our shameful and sadistic maltreatment of asylum seekers and their children.

The relevant question is not how all this compares to Sanders’s unachievable wish list, but to the reality of America under Donald Trump. Anyone who dismisses the difference is not a progressive, but a myopic and politically-infantile purist.

Still, at its heart this election is about one man: Trump. That’s why it’s imperative that Biden daily remind voters, in style and substance, that he is Trump’s antithesis: decent, dignified, compassionate, and competent; a man they can trust.

To a great extent, Biden is less a leader than a vehicle. Which means that his campaign will need to present Biden at his best—the warm and engaging guy who looks like a “can-do” president.

As a child, Biden struggled to conquer a congenital stutter he fights against still, which may explain some of his verbal tics in debate. To control stuttering requires immense concentration and willpower: that Biden became a politician is a triumph—and something of a wonder

that’s the Biden his campaign needs voters to internalize: a leader with the resilience to conquer adversity and come out stronger and more compassionate than before. Which is a pretty fair metaphor for the America which, millions hope, will follow Donald Trump.

A Morning Consult poll in February showed that 30 percent of independent voters were less likely to support Biden because of controversy regarding his son. Republican senators are primed to use their subpoena power to “investigate” Hunter and thereby deep-dye the damage to his father, undercutting his appeal as an ordinary guy who exemplifies middle-class values.

The chemical, perfluorooctanoic acid, or PFOA, has been linked to kidney cancer, birth defects, immune system disorders and other serious health problems.

scientists and administrators in the E.P.A.’s Office of Water were alarmed in late May when a top Trump administration appointee insisted upon the rewriting of a rule to make it harder to track the health consequences of the chemical, and therefore regulate it.

The revision was among more than a dozen demanded by the appointee, Nancy B. Beck, after she joined the E.P.A.’s toxic chemical unit in May as a top deputy. For the previous five years, she had been an executive at the American Chemistry Council, the chemical industry’s main trade association.

The E.P.A.’s abrupt new direction on legacy chemicals is part of a broad initiative by the Trump administration to change the way the federal government evaluates health and environmental risks associated with hazardous chemicals, making it more aligned with the industry’s wishes.

First, let's be clear that the Court could and likely will decide the SB8 case without saying anything about the continuing vitality of the abortion right. That's easy to see if a majority holds on procedural grounds that neither the U.S. nor the abortion providers (in the companion case) can bring suit for injunctive relief. If the federal court plaintiffs lack standing or a cause of action, or if the Court holds that state court judges are not proper party-defendants, or that for injunctive relief to be effective it must--but is not permitted to--run against private non-parties, then the Texas law will remain in effect pending resolution in state court and a possible eventual return to the US Supreme Court posing the question whether a six-week ban is permissible on the merits.

For the U.S. and/or the abortion providers to win, at least one of the Justices who might vote to overrule Roe v. Wade in Dobbs would need to nonetheless allow a challenge to SB8 to go forward. Why would they do so? Perhaps they'll see the case in purely procedural terms. If the stakes were lower, it would be relatively easy to imagine any Justice thinking Case X is ripe for overruling but until we overrule it, state legislatures must abide by it.

Let's assume for the sake of argument that that happens--say that next month the Court rules 5-4 that the Fifth Circuit was wrong to lift the preliminary injunction in the DOJ case. Then suppose that a different 5-4 majority or a 6-3 majority rules in late June that the Mississippi law is constitutional but that they're not deciding whether to overrule Roe (even though they would have de facto overruled much of Roe). At that point the news coverage would indeed likely be muddled. Is there still a constitutional right to abortion? When? Where? Pro-choice activists might have a harder time mobilizing voters based on Dobbs if there is also floating around the notion that the Supreme Court had invalidated the Texas law just a few months before--even though that would have been only a procedural holding.

(2) Quite apart from the substance, the procedural grounds for reinstating the injunction are strong. I acknowledge that there are genuine questions of standing, causes of action, remedy, proper defendants, and more, but the bottom line for me is fairly straightforward: As I argue in the column, the case fundamentally presents a question whether states and other government actors can use trickery to evade their constitutional obligations. Tax law has a substance-over-form principle that should be universal. Texas has made no secret of the fact that it crafted SB8's trapdoors with the clear purpose of preventing lawsuits and thus chilling the exercise of a constitutional right. Permitting this kind of evasion and defiance will invite more.

Teachers are facing a rising tide of disruptive behavior.

“Hate Crime Reports in U.S. Surge to the Highest Level in 12 Years, F.B.I. Says.” The F.B.I. found that between 2019 and 2020 the number of attacks targeting Black people, for example, rose to 2,871 from 1,972.

The number of gun purchases has soared. In January 2021, more than two million firearms were bought, The Washington Post reported, “an 80 percent year-over-year spike and the third-highest one-month total on record.”

As Americans’ hostility toward one another seems to be growing, their care for one another seems to be falling.

the share of Americans who give to charity is steadily declining. In 2000, 66.2 percent of households made a charitable donation. But by 2018 only 49.6 percent did.

now the college students I know fear that one errant sentence could lead to social death. That’s a monumental sea change.

not every trend is bad.

Substance use among teenagers, for example, seems to be declining.

t something darker and deeper seems to be happening as well — a long-term loss of solidarity, a long-term rise in estrangement and hostility.

This is what it feels like to live in a society that is dissolving from the bottom up as much as from the top down.

What the hell is going on? The short answer: I don’t know.

I also don’t know what’s causing the high rates of depression, suicide and loneliness that dogged Americans even before the pandemic and that are the sad flip side of all the hostility and recklessness I’ve just described.

We can round up the usual suspects: social media, rotten politics. When President Donald Trump signaled it was OK to hate marginalized groups, a lot of people were bound to see that as permission.

the fraying of the social fabric. Last year, Gallup had a report titled, “U.S. Church Membership Falls Below Majority for First Time.”

“America Is a Nation of Narcissists, According to Two New Studies.”

there must also be some spiritual or moral problem at the core of this. Over the past several years, and over a wide range of different behaviors, Americans have been acting in fewer pro-social and relational ways and in more antisocial and self-destructive ways. But why?

Carlson was a key in answering the question; he helped drive the G.O.P. to be just as cruel, just as dishonest and sometimes even more populist than Donald Trump himself.

Initially, there were good reasons for confusion about Trump and the G.O.P. During the campaign, he was all over the map ideologically

And if personnel is policy, then it was difficult to define his early administration as well

Moreover, many of his early moves were straight out of the standard Republican playbook

When Trump was elected, friends and colleagues told me that his populism could be moderated and his cruelty and dishonesty were aberrations.

It was not to be, and not just because of the sheer force of Trump’s personality. Carlson played an important role.

He helped mold the G.O.P. in his race-obsessed, conspiracy-addled image, helped perpetuate a culture of cruel and punitive Republican communication and helped build an infrastructure of new-right voices who copy his substance and style.

He was known, however, as an opportunist. And for enterprising and dishonest members of the infotainment right, the Trump era was a cornucopia of opportunity. Trump’s ideological incoherence wasn’t a problem. It was a vacuum that could be filled with ideas that identified and fed his resentments.

In fact, Trumpism was never truly about ideas. It was a vague amalgam of Trump’s ethics, attitudes and grievances — and Carlson imitated them, adopted them and broadcast them to his millions of viewers.

Carlson put the lie to the idea that Trump’s cruelty was an aberration, that it was somehow alien to the Republican character, to be tolerated only because the greater good of defeating Clinton had demanded it. In Trump’s cruelty, there was again, opportunity. There were millions who would thrill to his most crude and personal attacks.

On Tucker’s program truth was optional, insults were mandatory, and racism was all but explicit.

The narrative was consistent: “They” were after “you.” “They” were lying to “you.” And “they” were terrible, horrible people.

it’s typical of both Trump and Tucker: invent a partisan grievance, mislead the audience and cap off the conversation with a direct insult.

Tucker’s influence went beyond substance and style. He gave a platform to a number of the Trump right’s most notorious and most fringe voices

We knew Trump was more populist, more dishonest and more cruel than the typical Republican. But we did not know whether the G.O.P. would become more like the man or if the man would become more like the G.O.P.

If all that is true, then what could possibly be unimportant about Carlson? The fact is that at the end of the day, he was not bigger than Fox. The secret of Tucker’s fame is that it was always rooted far more in his Fox News time slot than in his (or his ideas’) inherent appea

while Carlson’s ratings were impressive, they were comparable to those of his predecessor Bill O’Reilly. Which raises the question: To what extent was Tucker popular and influential because of his distinct voice, and to what extent was it because he occupied the most coveted time slot on the most popular cable news channel in the United States?

I’ve written before about the network’s singular place in the culture of red America. Without the power of Fox, Carlson’s ability to influence the right will likely be permanently diminished.

Last year he went to the UK for a month and ended up staying nearly eight, finding an antidote to American’s poison.

“I still haven’t fully recovered from my stroke, and what goes on in this country, I couldn’t talk about it. I got in the middle of it. Tucker Carlson [a host on Fox News] was killing me every fucking night.”

also invited UK journalists to disseminate a warning: don’t let British politics become as polarised and debased as the American system.

“You still like each other, you still respect each other, you still value public debate: your democracy is still functioning,”

“Ours has seized up and I don’t know how to get ours flowing again. Be thankful that you don’t have our poison … I’m very afraid of the American system being hopelessly damaged.”

You all have proven that there’s still a desire for substance in politics, not just slogans and soundbites, and thank God you haven’t completely embraced American politics because your elections are of substance rather than style.

“I know that you guys are critical of the UK in recent times for being too American in your elections. You’re not. We are becoming more and more superficial. You are still substantial.”

Later he plays a video clip of one of his US focus groups descending into angry shouting and recriminations, a glimpse of a society that seems to be falling apart. He comments: “The worst of the worst. This is my warning to you. This is shit. This is a disaster and it will come to you if you let it happen.”

“Boris Johnson has written more books than Donald Trump has read. Boris is the real Trump. He understands the hopes and dreams of the public. He gets the historic context. He can wax poetically about 2,000 years ago, 200 years ago and two years ago. Trump could not do that.

“Biden does not understand the hopes and dreams of the average American,” says the messaging expert, who remains on the centre-right. “He does not empathise with them. His team is ideological rather than emotional and so he’s missing all this. It’s how people feel even more than how they think; feeling is a deeper emotion and Biden is not connecting to them at all.

Luntz argues that he overpromised. “He created unrealistic expectations. He’s a very arrogant human being and very flawed and the combination of flaws and arrogance is a really unhealthy cocktail.”

Wasn’t Biden supposed to be Mr Empathy? “There’s nothing about him that screams empathy. There’s everything about him that screams someone who’s already made up their mind.”

He identifies six issues that will determine voters’ choices: crime, immigration, shortages, prices, education and the January 6 insurrection. “Democrats have a huge problem on five out of the six.”

Today, after the catharsis of his stroke, Luntz finds plenty of blame to go around. He casts a harsh light on the media, social media and his own younger self. In an infamous 2003 memo, for example, he advised George W Bush’s Republican party to abandon the phrase “global warming” in favour of “climate change” because it is “less frightening”

The Great Rethink. It is a study of America voters’ attitudes and disillusionment with their leaders. “The only thing we agree on is that politicians suck,” Luntz says. “If you’re American, this is a very depressing time right now.”

nother offers some words to use (I am your voice, accountability, fact-based) and words to lose (agenda, I’m listening, transparency).

Luntz argues that even in a polarised society such as America, every parent asks the same question: will my child/grandchild be happy

Perhaps rather optimistically, he urges politicians to focus on children as “the great unifier”

“If you want to bring people together, you do it over their children. You guys are divided on just about everything; this crushes that divide. This brings people together and it’s not been done before.

The systems and social media making teenagers sad, angry and afraid today were shaped in part by adults who grew up sad, angry and afraid themselves.

Nearly 1 in 3 high school girls reported in 2021 that they had seriously considered suicide

Teen girls reported the highest ever levels of sexual violence, sadness and hopelessnes

Rates of bullying were increasing in the state even in 2018, and researchers at Drake University found some forms of it significantly correlated with feeling sad or hopeless and attempting suicide.

One in 5 — nearly 53 million people — had a mental illness in 2020, ranging from anxiety to depression to bipolar disorder.

Yes, social media delivers concentrated, addictive stress to developing minds that were held captive by the pandemic. No, logging off TikTok and returning to school will not fix the problem — because each teen’s life ricochets off family, friends and neighbors with struggles of their own in a polity with troubles of its own.

“Increasing the sense among all students that they are cared for, supported, and belong at school” is one, as is growing access to mental health and substance use prevention services for kids and their families and health education classes to teach teens to manage their boundaries and emotions and to ask for help. These positive practices build resilience.

can we acknowledge the weight this puts on underpaid teachers and part-time counselors and nurses? People who, if they haven’t already burned out, are practicing active-shooter drills, catching students up on 18 months of lost learning and ensuring kids have enough food to concentrate in class.

A school’s four walls cannot hold back the trauma of society as well as, perhaps, the personal nightmare waiting for kids at home.

Which brings us to the adults

Solutions start with compassionate, radical honesty: American kids are unwell because American society is unwell.

Nearly 28 million adults had an alcohol use disorder.

As many as 3 in 100 people will have a psychotic episode in their lives

we, too, need a sense that we are cared for, supported and belong.

As kids, 61 percent of adults in the United States experienced abuse or neglect, grew up with poverty, hunger, violence or substance abuse, experienced gender-based discrimination and racism or lost a parent to divorce or death.

If not you, then someone you know is doing their best to stitch up those invisible wounds.

Here’s more hope: Brains wired by toxic stress, such as the sexual violence that 1 in 10 teen girls are facing today, have the ability to essentially heal when exposed to positive experiences.

Good nutrition, adequate sleep, mindfulness practices all help. Adults as well as children have neuroplasticity, and family resilience and connection are positive influences.

At the meeting, my colleague Dr. Benard P. Dreyer, professor of pediatrics at New York University and a past president of the Academic Pediatric Association, called on pediatricians to take on poverty as a serious underlying threat to children’s health. He was prompted, he told me later, by the widening disparities between rich and poor, and the gathering weight of evidence about the importance of early childhood, and the ways that deprivation and stress in the early years of life can reduce the chances of educational and life success.

When Tony Blair became prime minister of Britain, amid growing socioeconomic disparities, he made it a national goal to cut child poverty in half in 10 years. It took a coalition of political support and a combination of measures that increased income, especially in families with young children (minimum wage, paid maternity and paternity leaves, tax credits), and better services — especially universal preschool programs. By 2010, reducing child poverty had become a goal across the British political spectrum, and child poverty had fallen to 10.6 percent of children below the absolute poverty line (similar to the measure used in the United States), down from 26.1 percent in 1999.

Dr. Dreyer said: “Income matters. You get people above the poverty level, and they actually are better parents. It’s critical to get people out of poverty, but in addition our focus has to be on also giving families supports for other aspects of their lives — parenting, interventions in primary care, universal preschool.”

Robert H. Dugger, managing partner of Hanover Investment Group, who made the economic case for investing in young children. “History shows that productivity increases when people are able to access their rights to life, liberty and the pursuit of happiness,” Mr. Dugger told me. “There is no economic recovery strategy stronger than committing to early childhood and K-through-12 investment.”

Armed groups of men have always been a major force in world history, whether sanctioned by the state or not. The idea that the moral power of grieving parents could overcome the identity gifts -- the sense of security -- that arms give to the men who cherish them is not just ahistoric; it misunderstands the fundamental dynamics of how power works in human society, and the politics of masculine identity in America. Even in a democracy, the only thing that can overcome force is force.

There are other ways of creating change. Public shaming also has a power.

The gun conversation can be changed by the one type of force more powerful than an organized group of people with arms -- the power to make people feel ashamed of themselves and ostracized by the group they care most about.

America has undertaken more vigorous shaming campaigns for far less harmful social behaviors than keeping a sloppy hold on guns, such as getting pregnant as a teen, or smoking, or letting babies ride in cars outside of car-seats. And it would mean asking gun owners to rethink how they store, share, and sell their legally purchased weapons.

legal gun owners are the second-largest source of guns flowing to criminals, with 37 percent of them coming from family or friends of the individuals locked up in state prisons.

I don't believe that a small group of grieving mothers -- even with strong political backing -- has the power to transform a conversation that's at core about how millions of men define themselves. Only the men of the relevant communities can do that

Mr. Baranov has not been charged with any crimes, and he has in the past been depicted as a whistle-blower who exposed cheating and corruption in track and field.

The investigation is part of the Department of Justice’s broader inquiry into doping schemes that have already led to penalties against scores of Russian athletes and officials.

Grigory Rodchenkov, the former longtime head of Russia’s antidoping laboratory, had told The Times that the Russian government ran an elaborate program to help the country’s athletes use banned, performance-enhancing drugs and go undetected.

three dozen Eastern Europeans disciplined in recent months, after retests of their urine samples from the 2008 and 2012 Summer Games.

United States law enforcement officials have focused on the agents behind those athletes, and the money they may have routed through American banks

Mr. Baranov told sports ethics investigators in 2014 that Ms. Shobukhova had been subjected to extortion and paid half a million dollars to top track and field officials to conceal her doping violations, enabling her to compete in the 2012 Olympics

The New York City Marathon spokesman said that no Russian athletes were registered to run on Sunday, in keeping with guidelines from global officials who have barred Russian athletes from competition.